Provider Demographics
NPI:1275156879
Name:MCAFEE, ERICA
Entity Type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:921 VINEYARD PL UNIT B
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-3608
Mailing Address - Country:US
Mailing Address - Phone:804-928-8131
Mailing Address - Fax:
Practice Address - Street 1:921 VINEYARD PL UNIT B
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3608
Practice Address - Country:US
Practice Address - Phone:804-928-8131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula